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Reflexive Evidence and Systems interventions to Prevention Obesity and Non-communicable Disease (RESPOND): Protocol and baseline outcomes for a stepped-wedge cluster-randomised prevention trial
journal contribution
posted on 2023-02-08, 23:23 authored by Jill WhelanJill Whelan, Josh HaywardJosh Hayward, Melanie NicholsMelanie Nichols, Andrew BrownAndrew Brown, Liliana OrellanaLiliana Orellana, Victoria BrownVictoria Brown, Denise BeckerDenise Becker, Colin BellColin Bell, Boyd Swinburn, Anna PeetersAnna Peeters, Marj MoodieMarj Moodie, SA Geddes, C Chadwick, Steven AllenderSteven Allender, Claudia StrugnellClaudia StrugnellIntroduction Systems science methodologies have been used in attempts to address the complex and dynamic causes of childhood obesity with varied results. This paper presents a protocol for the Reflexive Evidence and Systems interventions to Prevention Obesity and Non-communicable Disease (RESPOND) trial. RESPOND represents a significant advance on previous approaches by identifying and operationalising a clear systems methodology and building skills and knowledge in the design and implementation of this approach among community stakeholders. Methods and analysis RESPOND is a 4-year cluster-randomised stepped-wedge trial in 10 local government areas in Victoria, Australia. The intervention comprises four stages: catalyse and set up, monitoring, community engagement and implementation. The trial will be evaluated for individuals, community settings and context, cost-effectiveness, and systems and implementation processes. Individual-level data including weight status, diet and activity behaviours will be collected every 2 years from school children in grades 2, 4 and 6 using an opt-out consent process. Community-level data will include knowledge and engagement, collaboration networks, economic costs and shifts in mental models aligned with systems training. Baseline prevalence data were collected between March and June 2019 among >3700 children from 91 primary schools. Ethics and dissemination Ethics approval: Deakin University Human Research Ethics Committee (HREC 2018-381) or Deakin University's Faculty of Health Ethics Advisory Committee (HEAG-H_2019-1; HEAG-H 37_2019; HEAG-H 173_2018; HEAG-H 12_2019); Victorian Government Department of Education and Training (2019_003943); Catholic Archdiocese of Melbourne (Catholic Education Melbourne, 2019-0872) and Diocese of Sandhurst (24 May 2019). The results of RESPOND, including primary and secondary outcomes, and emerging studies developed throughout the intervention, will be published in the academic literature, presented at national and international conferences, community newsletters, newspapers, infographics and relevant social media. Trial registration number ACTRN12618001986268p.
History
Journal
BMJ OpenVolume
12Article number
ARTN e057187Publisher DOI
ISSN
2044-6055eISSN
2044-6055Language
EnglishPublication classification
C1 Refereed article in a scholarly journalIssue
9Publisher
BMJ PUBLISHING GROUPUsage metrics
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Keywords
Science & TechnologyLife Sciences & BiomedicineMedicine, General & InternalGeneral & Internal Medicinecommunity child healthnutrition & dieteticspublic healthhealth economicsQUALITY-OF-LIFECHILDHOOD OBESITYHEALTHASSOCIATIONSCOMMUNITIESRELIABILITYOVERWEIGHTSOMERVILLECHILDRENPROGRAMPediatricClinical ResearchComparative Effectiveness ResearchClinical Trials and Supportive ActivitiesNutritionPreventionObesityBehavioral and Social Science3.1 Primary prevention interventions to modify behaviours or promote wellbeing3 Good Health and Well BeingPublic Health and Health Services not elsewhere classifiedMedical and Health Sciences not elsewhere classifiedClinical Sciences not elsewhere classified
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